Schemas
ValidateResponse
{
"claim_id": "e4eaaaf2-d142-11e1-b3e4-080027620cdd",
"validation": [
{
"diagnosis": {
"code": "A40.9",
"present_on_admission": "Y"
},
"determination": {
"result": "Unsupported",
"confidence": 0.88,
"reasoning": "Diagnosis not supported as the SOFA score threshold was not met when account for baseline creatinine",
"evidence": [
{
"criteria": "Renal Dysfunction",
"source": {
"start_index": 1319,
"end_index": 1362,
"text": "CKD baseline 1.3 elevated to 2.1 creatinine"
},
"evaluation": "Rejects"
}
]
}
}
]
}claim_id
string
Unique Identifier
validation
object[]
validation.diagnosis
object
validation.diagnosis.code
string
ICD-10-CM code, can be passed with or without the decimal A40.9 or A409 are both acceptable.
validation.diagnosis.present_on_admission
enum<string>
Y = Yes, N = No, U = Unknown, W = Clinically Undetermined, 1 = Exempt from POA reporting
Available options:
Y, N, U, W, 1 validation.determination
object
validation.determination.result
enum<string>
Available options:
Supported, Unsupported, NoDetermination validation.determination.confidence
number
validation.determination.reasoning
string
Reasoning for determiniation
validation.determination.evidence
object[]
validation.determination.evidence.criteria
string
Clinical criteria assessed against
validation.determination.evidence.source
object
validation.determination.evidence.source.start_index
integer
Start index of text as function of the medical record input text
validation.determination.evidence.source.end_index
integer
End index of text as function of the medical record input text
validation.determination.evidence.source.text
string
validation.determination.evidence.evaluation
enum<string>
Evaluation of the clinical critera due to the source
Available options:
Supports, Rejects, Other {
"claim_id": "e4eaaaf2-d142-11e1-b3e4-080027620cdd",
"validation": [
{
"diagnosis": {
"code": "A40.9",
"present_on_admission": "Y"
},
"determination": {
"result": "Unsupported",
"confidence": 0.88,
"reasoning": "Diagnosis not supported as the SOFA score threshold was not met when account for baseline creatinine",
"evidence": [
{
"criteria": "Renal Dysfunction",
"source": {
"start_index": 1319,
"end_index": 1362,
"text": "CKD baseline 1.3 elevated to 2.1 creatinine"
},
"evaluation": "Rejects"
}
]
}
}
]
}